Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $260.89 / $475.02	Facility		$39.15	$260.89	$475.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $99.12 / $330.00	Professional		$39.45	$99.12	$330.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $90.35 / $226.53	Professional		$49.59	$90.35	$226.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.12 / $135.52 / $355.08	Professional	50	$79.12	$135.52	$355.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $45.60 / $57.00	Facility		$38.00	$45.60	$57.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $65.27 / $85.53	Professional		$62.16	$65.27	$85.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.93 / $213.77 / $327.92	Facility		$182.93	$213.77	$327.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $145.38 / $290.43	Professional		$65.26	$145.38	$290.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $66.15 / $142.79	Facility		$39.15	$66.15	$142.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $86.52 / $1,239.00	Facility		$40.54	$86.52	$1,239.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $147.56 / $503.28	Professional		$71.45	$147.56	$503.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $100.37 / $221.58	Professional		$58.42	$100.37	$221.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $66.15 / $142.79	Facility		$39.15	$66.15	$142.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $145.41 / $233.83	Professional		$93.81	$145.41	$233.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $189.92 / $189.92 / $189.92	Facility		$189.92	$189.92	$189.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $288.68 / $503.28	Professional		$87.78	$288.68	$503.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $256.51 / $436.40	Professional		$124.56	$256.51	$436.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $118.64 / $273.36	Professional		$65.68	$118.64	$273.36